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General NPI Number Information
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NPI Number | 1356896062
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Entity Type | Organization
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Legal Business Name | SION FARM URGENT CARE CENTER
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 4100 SION FARM SHOPP CTR STE 5
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City | CHRISTIANSTED
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State | VI
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Zip | 00820-4433
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Country | US
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Telephone | 340-643-2227
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Fax |
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Provider Business Mailing Address
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Address Line | 4100 SION FARM SHOPPING CTR #5
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City | CHRISTIANSTED
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State | VI
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Zip | 00820
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Country | US
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Telephone | 340-643-2227
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KENDALL M GRIFFITH
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Credential | M.D.,F.A.C.C.
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Telephone | 340-643-2227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 230935IL
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License Number State | VI
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